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Ria Health vs Sesame Care: Which Is Better?

Head-to-head comparison of Ria Health and Sesame Care based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Sesame Care scores higher overall in our independent evaluation (74/100 vs 64.1/100), leading on trust & safety, value, experience, product range, reputation.

Ria Health is a San Francisco-based, Joint Commission-accredited online alcohol-treatment program combining medication (naltrexone, acamprosate and off-label options), recovery coaching and a Bluetooth breathalyzer, billed mainly through insurance.

Visit Ria Health

Pay-per-visit marketplace connecting patients with licensed providers — no subscriptions, transparent per-visit pricing.

Visit Sesame Care

Score Breakdown

DimensionRia HealthSesame Care
Overall Score64.1/10074/100 ✓
Trust & Safety30%68/10075/100 ✓
Value25%58/10080/100 ✓
Experience20%64/10070/100 ✓
Product Range15%68/10070/100 ✓
Reputation10%62/10070/100 ✓

At a Glance

Founded—2019
HeadquartersSan Francisco, CANew York, NY
Publicly tradedNoNo
Treatment categories16
Treatments listed17
Starting price$200/mo$11/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryRia HealthSesame Care
Mental Health$200–$400
Alcohol Treatment Program (medication + coaching + breathalyzer)
$45–$99
Mental Health Visit (one-off, priced per session)

Ria Health

+Widest medication menu among online alcohol programs reviewed: naltrexone, acamprosate, topiramate, baclofen, gabapentin
+Bundles recovery coaching and a Bluetooth breathalyzer (shipped at no extra charge) with medical management
+In-network with several major insurers (Anthem/BCBS, UnitedHealthcare/Optum, Carelon, select Medicare Advantage); Joint Commission accreditation displayed
−Self-pay price is not published; requires a sales/intake call to learn cost
−17% of Trustpilot reviews are 1-star, citing charges after cancellation and insurance confusion; company responds to only ~26% of negative reviews
−Reports of missed appointments and onboarding communication gaps
Read the full Ria Health review →

Sesame Care

+No subscription required — pay-per-visit model
+Transparent pricing shown before booking
+Wide range of specialties available
−No integrated pharmacy
−Less continuity of care than subscriptions
−Provider quality varies in marketplace model
Read the full Sesame Care review →

Ria Health vs Sesame Care — FAQ

Is Ria Health better than Sesame Care?

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Sesame Care scores higher overall in our independent evaluation (74/100 vs 64.1/100), leading on trust & safety, value, experience, product range, reputation.

Is Ria Health or Sesame Care cheaper?

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Sesame Care has the lower starting price (from $11/mo vs $200/mo for Ria Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Ria Health and Sesame Care both offer?

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Both platforms treat Mental Health. Ria Health covers 1 treatment category total and Sesame Care covers 6.

Still deciding?